Not confined to teenagers, and treatable well beyond over-the-counter products.
What you may notice
Adolescents, and a substantial number of adults — particularly women in their twenties and thirties
Acne is an inflammatory condition of the hair follicle involving oil production, blocked pores and bacteria. It is not caused by poor washing. Effective treatment depends on the type — comedonal, inflammatory, nodular or hormonal — and on what has already been tried, which is why the consultation asks about both. Treating early is also how scarring is prevented.
Treatments
What each treatment involves, how many sessions it takes, and what the downtime actually is.
A full skin assessment with a consultant dermatologist, and a written plan.
A systematic examination of the whole skin with dermoscopy and mapping.
Removal of lesions under local anaesthetic, with histology on everything taken.
Prescription treatment for acne, eczema, psoriasis, rosacea and hair loss, with review.
Identifying the substance causing a contact dermatitis, which is how it is treated.
Controlled narrowband UVB, given in a cabinet two or three times a week.
Treatment for facial redness, thread veins and the visible vessels of rosacea.
Fractional laser for texture, scarring and sun damage, with real downtime.
A controlled exfoliation for pigmentation, texture and congestion.
Muscle-relaxing and volumising injections, given by a doctor after assessment.
Appointments
Every treatment starts with an assessment by a dermatologist. Bring photographs of anything that comes and goes — it will not be there on the day.